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Table 1 Models of treatment decision making.

From: Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness (CEDAR): Study protocol

 

Paternalistic model

Shared decision making model

Informed (patient) model

Information transfer

One-way (doctor to patient) transfer of minimum medical information necessary for informed consent

Two way: doctor provides all medical information needed for decision making. Patient provides information about preferences

One way (doctor to patient) transfer of all medical information needed for decision making

Deliberation

Doctor alone, or with other doctors

Doctor and patient (possibly with others)

Patient (possibly with others)

Decision about implementing treatment

Doctor

Doctor and patient

Patient

  1. Note. Adapted from Entwistle et al. [9].